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Dr. Andrew Rynne

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Exp 50 years

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Suggest treatment for hair thinning and an oily scalp

Hello, My hairline has thin out the past year and half. Through the crown and hairline. My scalp is itchy and oily. Im in my 40s and eat a healthy diet and work out in the gym at time and walk. I take vitamins every day from a daily vitamin to Vitamin E and D. Also, I take Biotin 5000 mg daily. My hair grows fast and so does my nails. I get my hair colored every two months and get my hair cut about once a month. Is there any solution to this problem? I know many middle-aged women suffer from this thinning of the hair due to DHT or what is called Seborreheic Dermatitis which I may have. Please help. Thank you.
Mon, 17 Nov 2014
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Dermatologist 's  Response
Hello. Thanks for writing to us at healthcaremagic

The pattern of hair loss as described by you is suggestive of Androgenetic Alopecia (female pattern). Hair loss is mainly from the top part of the scalp.
Dandruff may be an additional contributory factor in your hair fall.
If I was the treating doctor I would have asked you to use an antidandruff shampoo, once every alternate days.
In addition to this, specific treatment for Androgenetic alopecia would include topical minoxidil and Finasteride (*Finasteride is to be avoided in child bearing age group women and in case you plan to be pregnant)
Biotin is an added advantage but it has no particular role in androgenetic alopecia. It increases the utilization of proteins in hair growth.
Treatment is long term though results are noticeable by 6 months.
These are all prescription drugs. I would suggest that you visit a dermatologist in your region for a confirmatory diagnosis as well as appropriate treatment.

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